East Side Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EAST SIDE ORTHOTICS & PROSTHETICS, INC.

Practice address

19767 SW 72ND Ave Ste 102
Tualatin, OR 97062-8354

Phone

(503) 257-6623

Fax

(503) 257-6624

NPI assigned

Mar 3, 2026

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan Sabel

Title

Ceo

Phone

(503) 257-6623

Specialties & licenses 1

Addresses

Tax ID family

East Side Orthotics Prosthetics Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• East Side Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Eugene, OR
  • NPI 1093350266
  NPD tax ID
• East Side Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Portland, OR
  • NPI 1386602621
  NPD tax ID
• East Side Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Salem, OR
  • NPI 1487509527
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1386599421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306026",
            "telephone_number": "503-257-6623",
            "fax_number": "503-257-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE STE 102",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354",
            "telephone_number": "503-257-6623",
            "fax_number": "503-257-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SABEL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-257-6623"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Danielle Dunbar, PSY.D.
• Maya Duncan
• Cheryl Ann Duvall, RN, LMT
• Mareechi Duvvuri, DC
• Scott R Dyer, DMD,MS
• Jessie P Easton, LMT
• Edward D. Lacy, DMD. Fagd, PC
• Courtney V Edwards, LMT
• Ellen Fineman Physical Therapy Inc
• Ellen Nona Hoyven, P.T. P.C. (in Touch Physical Therapy)

• Prosthetic/Orthotic Supplier in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.